‘‘(B) Not later than 1 year after the date of enactment of this subsection, the Secretary shall establish standards for interactive
telephonic or web-based programs used to furnish health risk assessments under subparagraph (A)(ii)(I). The Secretary may
utilize any health risk assessment developed under section 4004(f) of the Patient Protection and Affordable Care Act as part of the requirement to develop a personalized prevention plan to comply with this subparagraph.
‘‘(C)(i) Not later than 18 months after the date of enactment of this subsection, the Secretary shall develop and make available
to the public a health risk assessment model. Such model shall meet the guidelines under subparagraph (A) and may be used
to meet the requirement under paragraph (1)(A).
‘‘(ii) Any health risk assessment that meets the guidelines under subparagraph (A) and is approved by the Secretary may
be used to meet the requirement under paragraph (1)(A).
‘‘(D) The Secretary may coordinate with community-based entities (including State Health Insurance Programs, Area Agencies
on Aging, Aging and Disability Resource Centers, and the Administration on Aging) to --
‘‘(i) ensure that health risk assessments are accessible to beneficiaries; and
‘‘(ii) provide appropriate support for the completion of health risk assessments by beneficiaries.
‘‘(E) The Secretary shall establish procedures to make beneficiaries and providers aware of the requirement that a beneficiary
complete a health risk assessment prior to or at the same time as receiving personalized prevention plan services.
‘‘(F) To the extent practicable, the Secretary shall encourage the use of, integration with, and coordination of health information
technology (including use of technology that is compatible with electronic medical records and personal health records) and may experiment with the use of personalized technology to aid in the development of self-management skills and management of and adherence to provider recommendations in order to improve the health status of beneficiaries.
‘‘(G) (i) A beneficiary shall only be eligible to receive an initial preventive physical examination (as defined under subsection
(ww)(1)) at any time during the 12-month period after the date that the beneficiary’s coverage begins under part B and shall be
eligible to receive personalized prevention plan services under this subsection provided that the beneficiary has not received such services within the preceding 12-month period.
‘‘(ii) The Secretary shall establish procedures to make beneficiaries aware of the option to select an initial preventive physical
examination or personalized prevention plan services during the period of 12 months after the date that a beneficiary’s coverage
begins under part B, which shall include information regarding any relevant differences between such services.
‘‘(H) The Secretary shall issue guidance that --
‘‘(i) identifies elements under paragraph (2) that are required to be provided to a beneficiary as part of their first visit for personalized prevention plan services; and ‘‘(ii) establishes a yearly schedule for appropriate provision of such elements thereafter.’’.
(c) PAYMENT AND ELIMINATION OF COST-SHARING.--
Also consider this from section 454
H. R. 3590—454
‘‘(E) providing for home visits that promote immunization through education, assessments of need, referrals, provision of immunizations, or other services;
‘‘(F) providing reminders or recalls for immunization providers;
‘‘(G) conducting assessments of, and providing feedback to, immunization providers;
‘‘(H) any combination of one or more interventions described in this paragraph; or
‘‘(I) immunization information systems to allow all States to have electronic databases for immunization records.
Some, like Nancy, (See comments on next post) have wondered if the electronic medical records devices will be given at the home immunization visits without permission from the patient or approval of the parents. It could be in the immunization injection. One especially wonders about this considering the following from section 454
‘‘(I) immunization information systems to allow all States to have electronic databases for immunization records.
Here is more from section 869
‘‘(D) use electronic health records and telehealth technology to better coordinate and manage, and improve access to, care, as determined by the coordinating center.
And more from section 33
‘‘(B) COORDINATION OF HIT STANDARDS.—In developing recommendations under this subsection, the review committee
shall ensure coordination, as appropriate, with the standards that support the certified electronic health record technology approved by the Office of the National Coordinator for Health Information Technology.
Section 272
‘‘(v) Supporting care coordination for chronically ill applicable individuals at high risk of hospitalization through a health information technology-enabled provider network that includes care coordinators, a chronic disease registry, and home tele-health technology.
Section 278
‘‘(G) The ACO shall define processes to promote evidence - based medicine and patient engagement, report on quality and cost measures, and coordinate care, such as through the use of telehealth, remote patient monitoring, and other such enabling technologies.
If you think these tele-health technologies do not include microchips, check out the information that is included in the microchips. (See next post)